Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.72 / $81.12 / $178.52	Facility		$6.72	$81.12	$178.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $4.61 / $6.04	Professional		$3.11	$4.61	$6.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $3.59 / $3.59	Professional		$1.81	$3.59	$3.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.42 / $17.09 / $31.18	Facility		$6.42	$17.09	$31.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.85 / $4.66 / $5.50	Professional		$2.85	$4.66	$5.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $4.92 / $8.28 / $54.18	Facility		$4.92	$8.28	$54.18
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.92 / $8.28	Professional		$4.13	$4.92	$8.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $5.18 / $5.18 / $5.18	Facility		$5.18	$5.18	$5.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $11.39 / $26.43	Facility		$4.05	$11.39	$26.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $5.71 / $10.74	Professional		$2.75	$5.71	$10.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $27.47 / $60.00 / $60.00	Facility		$27.47	$60.00	$60.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $5.18 / $30.15	Facility		$4.13	$5.18	$30.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.66 / $5.18 / $6.99	Professional		$4.66	$5.18	$6.99
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $879.00 / $1,418.00	Facility		$665.00	$879.00	$1,418.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.15 / $5.18 / $12.98	Facility		$4.15	$5.18	$12.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $5.18 / $7.48	Professional		$2.75	$5.18	$7.48
United Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $4.23 / $5.18	Professional		$3.11	$4.23	$5.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $2.56 / $5.18	Professional		$2.56	$2.56	$5.18